Healthcare Provider Details

I. General information

NPI: 1073217089
Provider Name (Legal Business Name): BROOKE TERKOVICH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2698 PATTERSON RD
GRAND JUNCTION CO
81506-8818
US

IV. Provider business mailing address

2905 INCA ST UNIT 5111
DENVER CO
80202-1998
US

V. Phone/Fax

Practice location:
  • Phone: 970-298-2800
  • Fax:
Mailing address:
  • Phone: 307-413-0303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0073923
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: